It has been hypothesized that the signals of near infrared spectroscopy (NIRS) would reflect muscle O2 uptake (mVO2). Although it is not definite that NIRS signals accurately reflect mVO2, there is every possibility that NIRS signals at least reflect regional O2 uptake (rVO2). The phase II kinetics of pulmonary oxygen uptake (pVO2) is regarded as reflecting mVO2 at the onset of exercise. To examine whether the rVO2 on-kinetics measured by NIRS reflects the mVO2 on-kinetics at the onset of exercise, we compared the rVO2 as measured by NIRS with the phase II kinetics of pVO2 at the onset of exercise. Twelve healthy male subjects cycled a Monark ergometer at three different intensities: below the ventilatory threshold (VT) level (below-VT), on the VT level (on-VT), and above the VT level (above-VT), for 6 minutes on three separate occasions. The rVO2 was calculated from the concentration of oxyhemoglobin and deoxyhemoglobin, as measured by NIRS every 3 seconds. The pVO2 was determined by the breath-by-breath method. A significant relationship between the amount of increases of pVO2 and rVO2 from rest to the end of exercise among all levels of exercise intensity was found (r=0.935, P<0.001). The time constants of rVO2 (rVO2-Tc: below-VT: 6.514±2.159 s, on-VT: 7.760±2.035 s, above-VT: 9.532±2.342 s) were significantly faster than the time constants of pVO2 (pVO2-Tc: below-VT: 23.8±4.4 s, on-VT: 25.9±5.1 s, above-VT: 26.3±5.7 s) (P<0.001). There was no significant relationship between rVO2-Tc and pVO2-Tc for each intensity (P>0.05). We conclude that the rVO2 on-kinetics measured by NIRS does not necessarily reflect the mVO2 kinetics at the onset of exercise.